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Utilisation, Fund Flows and Public Financial Management under the National Health Mission

Author

Listed:
  • Choudhury, Mita

    (National Institute of Public Finance and Policy)

  • Mohanty, Ranjan Kumar

    (National Institute of Public Finance and Policy)

Abstract

This study provides insights on how institutional architecture for public fund flows affects budget execution. Using the case of the National Health Mission (NHM) in India, it highlights how the rules and procedures that govern release of public funds affect utilisation of budgeted resources. It analyses the utilisation of NHM funds in 29 States, and documents the processes for fund releases from State treasuries to implementing agencies in Bihar, Maharashtra and Odisha. The study finds that on average, only about 55 per cent of funds allocated for NHM were utilised in 2015-16 and 2016-17. In Bihar and Maharashtra, this was partly due to significant delays in release of funds from State treasuries to implementing agencies. The delays were a result of complex administrative procedures associated with the release of NHM funds from State treasuries. The existence of implementing agencies outside the States' administrative setup, and the rigid fragmented financial design of NHM has contributed to the complicated architecture of release processes.

Suggested Citation

  • Choudhury, Mita & Mohanty, Ranjan Kumar, 2018. "Utilisation, Fund Flows and Public Financial Management under the National Health Mission," Working Papers 18/227, National Institute of Public Finance and Policy.
    • Handle: RePEc:npf:wpaper:18/227
    Note: Working Paper 227, 2018
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    File URL: http://www.nipfp.org.in/media/medialibrary/2018/05/WP_2018_227.pdf
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    References listed on IDEAS

    as
    1. K Gayithri K, 2012. "District Level NRHM Funds Flow and Expenditure: Sub National Evidence from the State of Karnataka," Working Papers 278, Institute for Social and Economic Change, Bangalore.
    2. George Schieber & Cheryl Cashin & Karima Saleh & Rouselle Lavado, 2012. "Health Financing in Ghana," World Bank Publications - Books, The World Bank Group, number 11977, December.
    3. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Sapatnekar, Sanhita & Patnaik, Ila & Kishore, Kamal, 2018. "Regulating Infrastructure Development in India," Working Papers 18/230, National Institute of Public Finance and Policy.
    2. Amarnath, H.K. & Singh, Alka, 2019. "Impact of Changes in Fiscal Federalism and Fourteenth Finance Commission Recommendations: Scenarios on States Autonomy and Social Sector Priorities," Working Papers 19/257, National Institute of Public Finance and Policy.
    3. Shankar Prinja & Atul Sharma & Ruby Nimesh & Vineeta Sharma & K Madan Gopal & Nina Badgaiyan & PVM Lakshmi & Madhu Gupta, 2021. "Impact of National Health Mission on infant mortality in India: An interrupted time series analysis," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(4), pages 1143-1152, July.
    4. Patnaik, Ila & Roy, Shubho & Shah, Ajay, 2018. "The rise of government-funded health insurance in India," Working Papers 18/231, National Institute of Public Finance and Policy.
    5. Malhotra, Shefali & Patnaik, Ila & Roy, Shubho & Shah, Ajay, 2018. "Fair play in Indian Health Insurance," Working Papers 18/228, National Institute of Public Finance and Policy.
    6. Bose, Sukanya & Noopur, A. & Nayudu, Sri Hari, 2022. "Intergovernmental Fiscal transfers and Expenditure on Education in India: State level analysis, 2005 to 2020," Working Papers 22/377, National Institute of Public Finance and Policy.

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    More about this item

    Keywords

    Public Fund Flow ; Fund Utilisation ; Public Financial Management ; Budget Execution ; National Health Mission;
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